HomeMy WebLinkAboutBLD2012-00451 - BLD Permit / Conditions - 6/27/2012 J I �
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PERMIT NO I'd
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W.Cedar•P.O. Box 186, Shelton,WA 98584 593780
Shelton (360)427-9670•Belfair(360)275-4467•Elma(360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
OwnerKAATTARI BARB Company Name FAST WATER HEATER COMPANY
Mailing Addres. 30 E PARK PL Mailing Address 12601 32HD AVE NE
Cit HELTON State WA—Zip Code 98584 CityKIRKLAND State - —Zip Code 98034
Phone(360)426-2579 Other Ph. Phone4 55 636- —Other Ph.495)-RR6-7� X
Re tfAgT
Contractor 1 Ex 1L iq
Lien/Title Holder g• 1AAA1H94RRC p•
E mail address E Mail Addres§Totie((LDfastwaterheater com
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC INFORMATION - Connect to New Septic Existing Septic Connect to Sewer System
Name of Sewer System
PARCEL INFORMATION- 12 Digit Parcel No 4 01 -52-000 6 _Fire District
Legal Description. Remove/Replace Gas Water Heater GARAGE 18" STND
Site Address(Please include street name,street number and city) 30 F PARK PL SHELTON
Directions to site---
Is property within 200' of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 150/0
TYPE OF JOB -New Add Alt Repair OtherReplace Use of Building
Location of Fixtures/Units-1st Floor 2nd Floor Basement Garage_ Closet
PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric_....LPG_Natural Gas_Heat Pump—
Toilets Type of Unit No of Units Fees
Bathroom Sink Furnace —
Bath Tubs Heatpumps _
Showers Spot Vent Fan __
Water Heater 1 Propane Tank —
Clothes Washer Gas Outlets
Kithen Sinks Wood/Gas/PelletStove
Dishwasher Kitchen Exhaust Hood
Hosebibs Dryer Vent
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of
such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I further declare that I am entitled to receive this
permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is
required from any easement holder or any other party in interest regarding this application or the work proposed in the application,I have obtained
permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information
provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection.
PROOF OF COPdTI U-,,-!r%N OF!^'ORK IS BY MEANS OF A PROGRESS INSPECTION,
X � q Date: 6/13/12
x iKh:4�SA(91�r9CAl€C R9QDt�dS /Contractor (indicate which one)
FOR OFFICIAL USE BEYOND T IS POINT
Accepted b ' tanning Pd Ck# Dat Bid Pd _Receipt No.
DEPARTM NTAL REVIEW APPROVED DENIED NOTES
Building Department
Occ Group—Type Constr.
Planning Department
Environmental Health Department
FEES
Plumbing& Base Fee Site Inspection
Mechanical&Base fee UFC Plan Review Fee
Wood/Gas/Pellet Stove Fee Other
Violation Fee TOTAL FEES
i
o CONCRETE MECHANICAL MANUFACTURED HOME
N Footings t Setbacks Gas Piping By Ribbons �
CD Interior Date By Interior-Date By Date By D
Exterior Late By Exterior-Date By set-up �
Point Load f Isolated Footings INSULATION _ Date By �
BG 1 SLAB INSULATION D
Date By Data By FIRE DEPARTMENT X
Foundavan walls Floors Dates By
Date By Date By DECKS
FRAMING Walls, Date By
Date By Date By PROPANE TANKS
PLUMBING Vault Date aY
Date By OTHER
Groundwork Attic
Gate By Type_
Dote B y Date By
O.WN DRYWALL type:
Int.Brace Wall Date By o0
-0 Date By Gate P,y
CD FINAL INSPECTION
v water Line Fire SeperationCD
tv
Date, By Date By Date By O
IV
c� i
a Pass or Request Inspect. c
Type of Insp. Fail gate Date Dane By Comments �
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